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Preventing Recurrent Stroke in Minority Populations

This study has been completed.
Agency for Healthcare Research and Quality (AHRQ)
Information provided by:
Icahn School of Medicine at Mount Sinai Identifier:
First received: September 13, 2005
Last updated: November 10, 2014
Last verified: December 2007
This study focuses on causes of under-use of secondary stroke preventive measures demonstrated in randomized clinical trials to be efficacious, but not appropriately utilized in urban, minority populations.

Condition Intervention
Transient Ischemic Attack
Behavioral: Chronic Disease Self Management Course

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Improving the Delivery of Effective Care to Minorities

Further study details as provided by Icahn School of Medicine at Mount Sinai:

Primary Outcome Measures:
  • Identification of under-use of effective secondary stroke preventive measures.

Secondary Outcome Measures:
  • Identification of the causes of under-use of effective secondary stroke preventive measures
  • the characteristics of those patients

Enrollment: 87
Study Start Date: September 2002
Study Completion Date: January 2007
Detailed Description:

As the population ages and the number of prevalent strokes increases recurrent stroke is becoming an increasingly important health care burden. National and local data strongly suggest that this burden falls disproportionately on minority populations, notably Blacks and Hispanics. This study seeks to determine the factors that contribute to that disparity and design and implement a novel intervention tailored to alleviate the factors identified. Specifically it will focus on causes of under-use of stroke preventive measures demonstrated in randomized clinical trials to be efficacious, but not appropriately utilized in urban, minority populations.

In the first phase of the study, charts of acute stroke patients in 4 large urban hospitals that serve the 3 racial/ethnic groups under study (Blacks, Hispanics and non-Hispanic whites) will be reviewed to determine the magnitude of under-use of these measures. Simultaneously, a panel of local expert physicians will finalize the proposed criteria for appropriate attention to risk factor assessment and modification. In the second phase of the proposed work, we will conduct a randomized trial intervention strategy that will include a control arm, and a patient educational arm where participants will be enrolled in a Chronic Disease Self Management Program. The program is designed to teach patients tools for managing their chronic illness which will empower them to improve their overall health. The program will be specifically tailored for patients living with asymptomatic chronic illnesses and will emphasize communication with health care providers. The educational intervention will be accompanied by a two-phased chart abstraction to measure clinical markers pre and post intervention. In the final phase of the study, the results of the trial will be analyzed and the results disseminated


Ages Eligible for Study:   40 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

Non-Hispanic white, Non-Hispanic Black or Hispanic patients hospitalized at one of the four participating hospitals for acute stroke or TIA or rehabilitation immediately following an acute stroke. Patients must speak English or Spanish, must be able to communicate verbally, and must be cognitively aware and able to participate in group discussions.

Exclusion Criteria:

This study is about racial and ethnic disparities regarding recurrent stroke in Non-Hispanic white, Non-Hispanic Black and Hispanic populations. The study does not include other races. We are excluding anyone who is under 40 years old because the etiology of stroke for these patients is different than older patients. Patients will be excluded who had a stroke secondary to substance abuse or who had an intra-cerebral hemorrhage stroke. We will also exclude patients who have been incapacitated to an extent that they are unable to comprehend a conversation or communicate effectively in a group setting. Additionally, patients will be excluded if they are discharged to a nursing home or who will move out of the New York City area after discharge.

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Please refer to this study by its identifier: NCT00211731

United States, New York
Mount Sinai School of Medicine
New York, New York, United States, 10029
Sponsors and Collaborators
Icahn School of Medicine at Mount Sinai
Agency for Healthcare Research and Quality (AHRQ)
Principal Investigator: Mark Chassin, MD Icahn School of Medicine at Mount Sinai
  More Information Identifier: NCT00211731     History of Changes
Other Study ID Numbers: 00-0053
P01HS010859-05 ( US NIH Grant/Contract Award Number )
Study First Received: September 13, 2005
Last Updated: November 10, 2014

Keywords provided by Icahn School of Medicine at Mount Sinai:
Acute stroke
recurrent stroke preventive measures
racial disparities

Additional relevant MeSH terms:
Ischemic Attack, Transient
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Brain Ischemia processed this record on April 28, 2017